| NPI | 1437398179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDISON H WONG Owner 978-821-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2015-04-03 |